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Register form

Registration is very easy: Please fill the information below. This information is used solely and exclusively by the internet shop operator and will not be disclosed to any third persons nor misused. Highlighted items have to be filled up This information can be changed any time you want. When having problems please contact system administrator: webmaster@patro.cz.


Login: Password:
  Password check:

Contact person

First Name: Last name:
Email address: Telephone:
  Please enter the phone number where you can be reached
8:00 - 17:00 on weekdays .
I have no objections receiving once-twice a month a short email containing information about new products being offered including the most favourable prices and discounts
HTML e-mail (colourful with pictures)
text only

Personal address or company seat

Street and No.:
City: ZIP/Postal code:
Country
Conditions for abroad delivery

COMPANY

Company name:
Company Registration No.: Tax Identification No.:
IBAN: (register_37)

Delivery address - when not completed the above entered information will be used.

Name, or as case may be the business name:
Street and No.:
City:
ZIP/Postal code:
Country
there is no Postal code of this kind in the Czech Republic
Telephone

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